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<html>
<head>
    <meta charset="utf-8">
    <title>来加健康服务网</title>
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    <meta name="Description" content="">
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<link rel="stylesheet" type="text/css" href="Public/mobile/js/layerModel/layerModel.css?123"/> 
<link href="Public/mobile/css/upload.css?1" rel="stylesheet" type="text/css">
<style type="text/css">
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</style>
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      function onImageError(obj){
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</head>
<body>
<div id="wrap">
	<header class="header">
        		    <a id="btn_common_go_back" class="fhbtn" href="javascript:;"></a>
        		    <h2>手动上传报告</h2>
                                                        <a class="hom_icon" href="Index.html"></a>
                                    	</header>
  	
<form id="rep_form">
<div class="upload_img_div">
    <div class="dp_m">
       
        <div class="dp_imgbox" style="padding-bottom:15px;">
            <a class="file" href="javascript:void(0);"></a>
            <div class="clear"></div>
        </div>
        <div class="dp_nmbox"><span class="fl p">限20张图片(0/20)</span></div>
    </div>
    <input type="file" name="files[]" id="files" multiple=""  accept="image/*;capture=camera" style="position: absolute;top:-1000px;left:-1000px;" />
     <div class="bgbtnbox">
            <a style="display:none" href="javascript:;"><img width="30" height="30" src="Public/home/images/sc-icon.png"><span>立即上传</span></a>
            <a style="width:100%; background:#90d169;" class="cur" href="javascript:;">下一步</a>
        </div>
</div>
<div style="display:none" class="edit_upload_info_div">
    <div class="in-cont">
        
        <table class="input-tab" border="0" cellpadding="2" cellspacing="0">
            <tr>
                <td width="70"><label class="zl-label">姓名</label></td>
                <td>
                    <select id="member_id" size="1" name="member_id" class="keyword-xl">
                                            <option value="5731">18811742118</option>
                                        <option value="">添加新成员</option>
                    </select>
                </td>
            </tr>
            <tr>
                <td width="70"><label class="zl-label">类型</label></td>
                <td>
                    <select size="1" name="bg_type" class="keyword-xl">
                        <option value="1">体检报告</option>
                    </select>
                </td>
            </tr>
            <tr>
                <td width="70"><label class="zl-label">检查时间</label></td>
                <td><input name="tj_date" id="tj_date" class="zl-input before" type="date"  value="2016-10-19"/></td>
            </tr>
            <tr>
                <td width="70"><label class="zl-label">检查医院</label></td>
                <td><input class="zl-input" name="tj_hospital" id="tj_hospital" type="text" placeholder="输入您体检的机构名称" /></td>
            </tr>
        </table>
    </div>
    <div class="progress" id="vader"></div>
    <a class="common-btn" id="baocun"  href="javascript:;">保存</a>
</div>
<input type="hidden" value="1" name="is_not_weixin" />
</form>
<div style="display: none;" id="add_jtcy_div">
    <div class="in-cont">
        <form id="cy_form">
            <table class="input-tab" border="0" cellpadding="2" cellspacing="0">
                <tr>
                    <td width="50"><label class="zl-label">姓名</label></td>
                    <td><input data-msg="请输入家庭成员姓名" class="zl-input" type="text" id="name" name="name" placeholder="请输入姓名"></td>
                </tr>
                <tr>
                    <td width="50"><label class="zl-label">生日</label></td>
                    <td><input data-msg="请选择家庭成员生日" class="zl-input" type="date" id="birthday" name="birthday" placeholder="请选择家庭成员生日"></td>
                </tr>
                <tr>
                    <td width="50"><label class="zl-label">性别</label></td>
                    <td>
                        <ul class="uesr-sexbox">
                            <li class="cur"><a href="javascript:;" data-sex="1">男</a></li>
                            <li><a href="javascript:;" data-sex="2">女</a></li>
                            <input type="hidden" name="sex" id="sex" value="1"/>
                            <input type="hidden" name="id" id="id" value="0"/>
                        </ul>
                    </td>
                </tr>
                <tr>
                    <td width="50"><label class="zl-label">手机</label></td>
                    <td><input data-msg="请输入家庭成员手机号码" class="zl-input" type="text" id="mobile" name="mobile" placeholder="请输入手机号码"></td>
                </tr>
                <tr>
                    <td width="50"><label class="zl-label">证件</label></td>
                    <td><input class="zl-input" type="text" id="id_card" name="id_card" placeholder="请输入证件号码"></td>
                </tr>
                <tr>
                    <td width="50"><label class="zl-label">关系</label></td>
                    <td>
                        <select id="relationship" size="1" name="relationship" class="keyword-xl">
                            <option value="父亲">父亲</option>
                            <option value="母亲">母亲</option>
                            <option value="兄弟姐妹">兄弟姐妹</option>
                            <option value="女儿">女儿</option>
                            <option value="儿子">儿子</option>
                            <option value="夫妻">夫妻</option>
                            <option value="同事朋友">同事朋友</option>
                            <option value="其他">其他</option>
                        </select>
                    </td>
                </tr>
                <tr>
                    <td width="50">&nbsp;</td>
                    <td><a style="float: left;width:45%;background:#888;margin:10px 0 25px 0;" class="common-btn" href="javascript:;" onclick=" $('#member_id option:first').prop('selected', 'selected');$('#add_jtcy_div').close();">关闭</a>
    				<a style="float: right;width:45%;margin:10px 0 25px 0;" class="common-btn" href="javascript:;">保存</a></td>
                </tr>
            </table>
        </form>
    </div>
    <div style="clear: both;"></div>
</div>
<input type="hidden" value="0" id="if_submit" />
  </div>
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	var __indexUrl__="/";//默认的首页地址,即当返回到顶层时的地址
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      __appId = "wx120d587ec84601ff";              // 必填，公众号的唯一标识
      __timestamp = "1476876225";  // 必填，生成签名的时间戳
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      __signature = "e49740b622dd6fbd31adc9adae3692ee6e7162d7";  // 必填，签名，见附录1
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<script>
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